Camp Registration and Forms

Select Form Below

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Preschooler Registration

ALL CAMPERS MUST BE POTTY TRAINED.

Preschool is age 3 up to going into kindergarten. Please complete one form for each child attending.

Camper Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Camper Age *

Gender

Male
Female

Special concerns (allergies, medications, medical conditions, etc.) *

Guardian(s) name *

First

Last

Email *

Phone *

Can this phone accept texts? *

In Case of Emergency, Person #1 *

First

Last

In Case of Emergency, Person #1's Phone *

In Case of Emergency, Person #2

First

Last

In Case of Emergency, Person #2's Phone

Person other than Guardian allowed to pick up this child, Name #1 *

First

Last

Person other than Guardian allowed to pick up this child, Name #1's Phone *

Person other than Guardian allowed to pick up this child, Name #2

First

Last

Person other than Guardian allowed to pick up this child, Name #2's Phone

Person other than Guardian allowed to pick up this child, Name #3

First

Last

Person other than Guardian allowed to pick up this child, Name #3's Phone

How did you hear about Crosspoint Kids Camp?

Crosspoint's Electronic Sign
Facebook
Website
Friend/Family
Mailer

Please choose all that apply.

RELEASE FOR USE OF CHILD'S PICTURES: As legal guardian of this minor, *

I do
I do not

grant permission for Crosspoint Church to publish photos of my child in their various forms of publication or on the church's website and/or Facebook. I have Crosspoint Church the perpetual, royalty-free right to use my child's photo(s) in any manner including but not limited to publications and the website. Publication of these photos will not include first or last names. I understand that if I give written notice that I object to any particular picture on the website or Facebook, it will be removed as soon as possible.

GUARDIAN RELEASE STATEMENT:

By signing below, I understand that I have read and agree to the information given in this entire form. I also acknowledge that I am a legal guardian of the youth listed above on this consent. *

Thank you for pre-registering for Crosspoint Kids Camp!

We look forward to seeing you June 26th through June 30th, 6-8 pm daily. Doors will open each evening at 5:45 pm. Please use the back entrance to the building off the large parking lot.

1st - 5th Registration

Please complete one form for each child attending.

Camper Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Camper Age

Grade this fall *

First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade

Gender *

Male
Female

Sports Choice *

Volleyball (Bring a volleyball labeled with your name. We will be outside. Dress appropriately, including sunscreen.)
Basketball (Bring a basketball labeled with your name.)
Cheerleading (Wear comfortable shoes.)
Crafts

Special concerns (allergies, medications, medical conditions, etc.)

Guardian(s) name *

First

Last

Email *

Phone *

Can this phone accept texts? *

In Case of Emergency, Name #1 *

First

Last

In Case of Emergency, Phone #1 *

In Case of Emergency, Name #2

First

Last

In Case of Emergency, Phone #2

Person other than Guardian allowed to pick up this child, Name #1

First

Last

Person other than Guardian allowed to pick up this child, Name #1's Phone

Person other than Guardian allowed to pick up this child, Name #2

First

Last

Person other than Guardian allowed to pick up this child, Name #2's Phone

Person other than Guardian allowed to pick up this child, Name #3

First

Last

Person other than Guardian allowed to pick up this child, Name #3's Phone

How did you hear about Crosspoint Kids Camp?

Crosspoint's Electronic Sign
Facebook
Website
Friend/Family
Mailer

Please choose all that apply.

RELEASE FOR USE OF CHILD'S PICTURES: As legal guardian of this minor, *

I do
I do not

GUARDIAN RELEASE STATEMENT:

By signing below, I understand that I have read and agree to the information given in this entire form. I also acknowledge that I am a legal guardian of the youth listed above on this consent. *

Thank you for pre-registering for Crosspoint Kids Camp!

We look forward to seeing you June 26th through June 30th, 6-8 pm daily. Doors will open each evening at 5:45 pm. Please use the back entrance to the building off the large parking lot.

Kids T-Shirt Order Form

Name *

First

Last

Phone *

Email *

How many t-shirts?

Select how many of each shirt size is needed.

Youth Small

Selected Value: 0

Youth Medium

Selected Value: 0

Youth Large

Selected Value: 0

Adult Small

Selected Value: 0

Adult Medium

Selected Value: 0

Adult Large

Selected Value: 0

Adult XL

Selected Value: 0

Total: $10

Total: $20

Total: $30

Total: $40

Total: $50

Total: $60